Individual provider Active NPI

Donna Jean Hedgepeth, DC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1326022351
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3006 Issued in NC
Practice address
4615 Western Blvd
Raleigh, NC 27606-1815
Phone
(919) 851-1010
Fax
(919) 859-4254
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3006 NC Primary

Addresses

Primary practice location

4615 Western Blvd
Raleigh, NC 27606-1815

Mailing address

4615 Western Blvd
Raleigh, NC 27606-1815
Phone (919) 851-1010

Other identifiers 1

IdentifierTypeStateIssuer
89085JWMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000178 NC Practitioner - Chiropractic 1355380973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna J. Hedgepeth, DC, PA Chiropractor CurrentSince Jul 22, 2002 Accepting new patients

Locations

4613 Western Blvd
Raleigh, NC 27606
Phone (919) 851-1010

4615 Western Blvd
Raleigh, NC 27606
Phone (919) 851-1010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1326022351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061815",
            "telephone_number": "919-851-1010",
            "fax_number": "919-859-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061815",
            "telephone_number": "919-851-1010",
            "fax_number": "919-859-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085JW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.